PMID- 31673402
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220411
IS  - 2055-7647 (Print)
IS  - 2055-7647 (Electronic)
IS  - 2055-7647 (Linking)
VI  - 5
IP  - 1
DP  - 2019
TI  - Isometric versus isotonic exercise for greater trochanteric pain syndrome: a 
      randomised controlled pilot study.
PG  - e000558
LID - 10.1136/bmjsem-2019-000558 [doi]
LID - e000558
AB  - OBJECTIVES: Greater trochanteric pain syndrome (GTPS) is a common cause of 
      lateral hip pain. Limited evidence exists for the effectiveness of exercise for 
      GTPS. This study aimed to compare the effectiveness of isometric and isotonic 
      exercise for individuals with GTPS. METHODS: This randomised controlled pilot 
      trial recruited 30 participants with GTPS. Both programmes consisted of daily, 
      progressive home exercise for 12 weeks with 8 individual physiotherapy sessions 
      over the trial period. The primary outcome measure was the Victorian Institute of 
      Sport Assessment-Gluteal (VISA-G) and secondary outcome measures included the 
      Numeric Pain Rating Scale (0-10) and an 11-point Global Rating of Change Scale. 
      Outcome measures were assessed at baseline, 4 and 12 weeks. RESULTS: Twenty-three 
      participants completed the trial. After 12 weeks, mean VISA-G scores improved in 
      both groups; 55-65 in the isometric group and 62-72 in the isotonic group. 55% of 
      the isometric group and 58% of the isotonic group achieved a reduction in pain of 
      at least 2 points (minimally clinically important difference (MCID)) on the 
      Numeric Pain Rating Scale. 64% of the isometric group and 75% of the isotonic 
      group had improved by at least 2 points (MCID) on the Global Rating of Change 
      Scale. CONCLUSION: Isometric and isotonic exercise programmes appear to be 
      effective for individuals with GTPS and should be considered in the loading 
      management of patients with this condition.
CI  - (c) Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published 
      by BMJ.
FAU - Clifford, Christopher
AU  - Clifford C
AD  - Department of Physiotherapy, NHS Greater Glasgow and Clyde, Glasgow, UK.
AD  - Institute of Infection, Immunity and Inflammation, College of Medical Veterinary 
      and Life Sciences, University of Glasgow, Glasgow, UK.
FAU - Paul, Lorna
AU  - Paul L
AD  - School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
FAU - Syme, Grant
AU  - Syme G
AD  - Department of Physiotherapy, NHS Fife, Kirkcaldy, UK.
FAU - Millar, Neal L
AU  - Millar NL
AUID- ORCID: 0000-0001-9251-9907
AD  - Institute of Infection, Immunity and Inflammation, College of Medical Veterinary 
      and Life Sciences, University of Glasgow, Glasgow, UK.
LA  - eng
GR  - 21346/VAC_/Versus Arthritis/United Kingdom
GR  - MR/R020515/1/MRC_/Medical Research Council/United Kingdom
PT  - Journal Article
DEP - 20190921
PL  - England
TA  - BMJ Open Sport Exerc Med
JT  - BMJ open sport & exercise medicine
JID - 101681007
PMC - PMC6797310
OTO - NOTNLM
OT  - Hip
OT  - Physiotherapy
OT  - Tendinopathy
OT  - Tendinosis
COIS- Competing interests: None declared.
EDAT- 2019/11/02 06:00
MHDA- 2019/11/02 06:01
PMCR- 2019/09/21
CRDT- 2019/11/02 06:00
PHST- 2019/09/01 00:00 [accepted]
PHST- 2019/11/02 06:00 [entrez]
PHST- 2019/11/02 06:00 [pubmed]
PHST- 2019/11/02 06:01 [medline]
PHST- 2019/09/21 00:00 [pmc-release]
AID - bmjsem-2019-000558 [pii]
AID - 10.1136/bmjsem-2019-000558 [doi]
PST - epublish
SO  - BMJ Open Sport Exerc Med. 2019 Sep 21;5(1):e000558. doi: 
      10.1136/bmjsem-2019-000558. eCollection 2019.